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GS1 Healthcare Provider Advisory Council Webinar Implementing Unique Device Identification (UDI) and Recall Kevin Downs, Director of Finance & Performance, Derby Teaching Hospitals NHS Foundation Trust March 2016

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GS1 Healthcare Provider

Advisory Council Webinar

Implementing Unique Device Identification (UDI) and Recall

Kevin Downs, Director of Finance & Performance, Derby Teaching Hospitals NHS Foundation Trust

March 2016

© GS1 2015

Welcome and thank you for attending!

• Welcome to our March 2016 webinar. Thank you to our guest

speaker – Kevin Downs, Director of Finance & Performance,

Derby Teaching Hospitals NHS Foundation Trust

• Some housekeeping for today:

- All attendees will be on mute

- If you have questions during the presentation, please type them into

the questions area and these will be monitored then answered at the

end of the call

• After the webinar:

- Within a week, the recording will be posted to:

http://www.gs1.org/healthcare/hpac_webinars

- All previous webinars are also posted to this location, so please feel

free to use this resource and share the link

2

© GS1 2015

A forum for sharing

and discussion

The GS1 Healthcare Provider Advisory Council (HPAC)

• That support the adoption of GS1 Standards in

healthcare providers and retail pharmacies

• For publication, presentation and sharing

• To those involved in GS1 standards development,

the wider Healthcare stakeholder community and

senior executives/decision-makers to gain their

buy-in and support for implementation of GS1

Standards

Identification of

projects and case

studies

A source of expertise

and advice

3

• About the practical realities of implementation of

GS1 Standards in the care giving environment in

regards to the impact on clinical care and patient

interaction

Thought leaders and early adopters of GS1 Healthcare

Standards from the global clinical provider environment. Their

final goal is to improve patient safety, cost efficiency and staff

productivity through implementation of GS1 standards.

© GS1 2015

Webinars

HPAC Activities

• Monthly webinars open to all

stakeholders interested in

learning about GS1 standards

implementation in the care giving

environment.

• http://www.gs1.org/healthcare/h

pac_webinars

GS1 Healthcare also holds two global conferences per annum. Next conference in Dubai from 18-20 April.

Significant Healthcare Provider participation on the agenda. Go to: http://healthcare-event.gs1.org

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Awards

• Twice per annum

• Provider Best Case Study Award

• Provider Recognition Award

• http://www.gs1.org/healthcare/h

pac

Welcome

� The Royal Derby Hospital is the newest hospital in the East Midlands

– £334 million has been invested in the development

– Annual budget of around £475 million

� Officially opened in April 2010 by Her Majesty The Queen and His Royal Highness

The Duke of Edinburgh,

� We now care for more than 180,000 people as inpatients, outpatients, emergency

patients and day cases.

� This equates to around 625,000 visits from patients each year.

� There are 1,159 beds in our 50 wards (Inc. 4 wards from our London Road site)

– And 200 of them are in single rooms with en-suite facilities

– Over 8,000 employees

� We have 35 operating theatres

Facts about our hospital

Going digital is no longer optional for the NHSThe NHS mantra should be: “Every patient needs a barcode”.

That was the revolutionary thought outlined by Tim Kelsey, NHS England’s National

Director for Patients and Information and Chair of the National Information Board,

as he opened day two of the Health and Care Innovation Expo 2015 conference

in Manchester.

Quote – Tom Kelsey

With a barcode on the patient, consumables, staff, location, and assets we

can easily show a patients true cost and journey, throughout the patient pathway.

FMCG

The Whole system is based on

POINT OF USEWhat the Customer buys

So Why Not the Patient?

TRACKING

TRACEABILITY ?

SO WHY IS IT SO

IMPORTANT ?

Benefits of GS1in FMCG

• Stock

contamination

identified

• Traceability

• Speed

Not in Healthcare ?

PIP breast implants; The medical devices manufactured by a French company, Poly Implant Prothèse (PIP).

French regulator (AFSSAPS) Identified the manufacturer had used unapproved materials which may affect their safety and performance.

Finding those Patients affected?

CONTRACTUAL !!!!

Latest CPE News

Adoption of GS1 Standards by NHS Acute Trusts

Richard Douglas asks all NHS Acute Trust Chief Executives to nominate a GS1 Lead for their Trust. Richard Douglas, Director-General, Finance and NHS Directorate wrote to all NHS Acute Trust Chief Executives today, 17 November, requesting that they nominate an individual in their organisation as lead for the adoption of GS1 standards by 28 November 2014. This note was also provided to non-Acute Trusts for reference. No action is required by non-Acute Trusts. GS1 is a global standards organisation that provides barcoding standards that enable data to be captured by barcode scanners and shared electronically between systems. The use of GS1 standards for patient identification is already a requirement under ISB1077and compliance with the NHS eProcurement strategy is a requirement of the NHS Standard Contract. Under this requirement, Acute Trusts are expected to develop and commence implementation of:

a Board-approved GS1 adoption plan plans to electronically record usage of medicines and medical

devices into the patient record

The Department of Health is currently creating detailed guidance for Trusts to support the production of local adoption plans. The requirement in the NHS eProcurement strategy to produce these plans by the end of March 2015 has been extended to the end of June 2015. The guidance will be provided to Trust GS1 Leads as nominations are received. Regional training events will be held in January/February to fully brief Trust GS1 Leads on this area of activity.

The Stock Room – Original Objective

Master Data Catalogue Management

� Contract based item & price data

� Validated catalogue item data

� Consistent contract based item & price data

� Controlled ordering

� Standardisation of item choice

Reduced Cost of Procurement Eliminated PO Supplier queries

385 HL Catalogues, resulting in145,000 items in catalogues

HL

hTrak

1) Will scan high value items

(including HIBCC)

1) Low value items will be put in packs

E.g. on next slide

3)Scan Surgical Trays (traceability & cost)

4)Scan Scopes for (traceability & cost)

Scanning via hTrak

Lap Chole Scanning Sheet‘Mr Leeder’ – SELF MADE

Process Automation

� PO and Invoice transmission – Reduction in time– Confidence of delivery

� PO and Invoice matching– Reduction in admin time

� PEPPOL conformant– Assurance of transmission

� Usage driven automated replenishment – Reduced overstocking & wastage– Linkage to PLICS

Better Financial View of Supply Chain

Integrated Processes

eCat Catalogue &

Contract Cleansing

hTrakStock Take

Point of Care Consumption & Inventory Management Solution

TrustPO/AP System

eConnectPO & Invoice

Transfer

PLICS Coding

Master Data Understanding Stock

Implementation:�Operational in 9 General Theatres, 3General Day Case Theatres and 2 Radiology Suites, 2 Cardio Cath Labs, 3 Eyes Theatres and 2 Urology Theatres. (18 Theatres & 4 Suites)

– Rolling out to further 15 Theatres

�Tracked theatre & stock room consumption– Loan sets & Surgical trays tracked

� Prevented expiry wastage�Automated replenishment�Streamlined ordering

– Direct via NHS Supply Chain

Knowledge leads to Reductions in overall Stock Levels

Roll Out Plan

� Implementation Plan and Timescale� Initial Planning stages - Commenced November 2013

� Roll out to General Theatres - April 2014

9 theatres – multiple specialties

� General Day case Theatres - December 2014

3 theatres – multiple specialties

� Radiology – January 2015 - 2 suites

� Cardio Catheter Labs – May 2015 -2 labs

� Urology day case – August 2015 – 2 theatres

� Ophthalmology - Sept 2015 – 3 theatres

� Hand Theatres – November 2015 – 2 theatres

� Gynae and Children's January 2016 – 4 theatres

� Other day case theatres - September 2015 - 6 theatres

(exc Prosthesis and Implants)

� Trauma and Orthopaedics – First qtr 2016 – 8 theatres

� WARDS /Outpatients - 2016

Traceability, Patient Safety & Data Capture;

� Patient Scanned and Checked

� Staff Scanned and Tracked

� Track scopes/ Instrumentation to patients

– CJD & AIDS

� Tracked theatre & stock room consumption

-Loan sets & Surgical trays tracked

� Lot number captured – Product Recalls

� Prevented expiry wastage & Warning Flag

� Attribute cost to Scope/Instrumentation use

� Track planned maintenance e.g. 100 uses

Traceability, Patient Safety & Data Capture;

Further Value;

� Detailed and Accurate data for PLICS

� Automated replenishment of stock

� Clinical Teams Time Saved (Ordering)

� Stock takes halved from 1 day to ½ day

� Reduced stock holding (£’s)

� Direct NHS Supply Chain ordering

� Driving down delivery charges

Selling the Idea

� How to get Clinical Engagement?

� Patient Safety - out of date stock

� Traceability - Instruments /implants

� Coding – Income Improvement/Reduce Cost Improvement Impact

� Automatic update of external records - implants

Cost Reduction

Since April 2014 Derby have seen business process efficiencies equating to approximately £25k per month after costs

(This figure is relating to General Surgery, Imaging and Cath Labs) – Annual Impact £300k – 30% of Theatres.

Through a combination of factors:

• The non-stock spend has reduced by at least 5-7% since go live

• Culture change in terms of waste, opening and using only what’s needed

• Auto-replenishment of stock, clinician time diverted back to patient care (Stock Take efficiency) 2 days to 1/2 day

• Reductions in the stock holding – Visibility of consumption ( Adjusted Min / Max)

• Driving down delivery charges by grouping orders

• Released stock storage space which can be relocated for other uses.

Key Data:Over 400 electronic catalogues feeding validated consumable pricing, enabling detailed analysis of non–pay spend.

We are fully ready to benchmark our pricing…

Income Improvement

• Increased accuracy of OPCS codes due to data capture at point of care.

• Coding of all uncoded patients - £850k

Quantifiable results

As more areas go live, this figure increases…

Coding Status

Coding Problem

USE TRUSTS OWN GS1 CODES

How the coders receive hTrak data

“BIG STEVE”

Co-Morbidities

Recording

Coding Impact

Operational Changes

Changes in Clinical and Operational Practice

Addressing “false economies”

Synergy Tray – Screw Example

Efficiency Examples…

Efficiency Examples

Jaw Plates – Straight or Curved?

Additional Benefits

� Clinician Involvement

The ability to address Clinical variation with detailed and owned undisputed information

SLM - Capability and Improvement Trajectory

Impro

vem

ent

Impact

Time1

2

5

3

4

6Positive

NegativeChallenge – We can’t do anything with this inaccurate data; the Execs will always interfere

Status Quo, currentreporting andengagement

We need to try and maximise or increase income to improve our financial performance

We need to try and influence our costs/approach to ensure we are delivering the best value

We need to try and transform our own services within our own organisation to improve care

We need to transform our health economy services to improve care understanding how to align clinical and financial value and the right commissioning currency, with right commissioner engagement

hTrak Procedure Report ‘Crude Data’

Reporting Data System

HRG

Procedure

Reporting Data System

Reporting Data System

Reporting Data System, Product Analysis / Variance…

SUI – Clinical Management

Description of Incident: Use of Nerve Stimulator

SUI – Clinical Management ctd…

SUI – Clinical Management ctd…

SUI – Clinical Management ctd…

Questions?

© GS1 2015

Tania Snioch

Director Healthcare

HPAC Questions & Contact Details

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T +32 492 27 44 19

E [email protected]